Wold, Kathleen Joan

Wold, Kathleen Joan is an individual health care provider with primary practice located at 33-57 Harrison St Hospitalist Program - Tcu, Johnson City NY 13790-2107. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Wold, Kathleen Joan can be contacted via phone (607) 763-6622.

Contact Information

Primary practice address
33-57 Harrison St Hospitalist Program - Tcu Johnson City NY 13790-2107
Phone: (607) 763-6622
Fax: (607) 763-5064
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X F301130 New York
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F301130 New York

Profile Details

NPI number 1386622090
LBN Legal business name Wold, Kathleen Joan
Credentials ANP EDD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2006
Last updated Jan 29th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386622090 NPPES
New York MEDICAID 02463156

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